MEDICARE: ALTERNATIVE INTERVENTIONS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	1424	OK

General Provider Information

NPI Number	:	1053642116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE INTERVENTIONS, INC

Provider Business Mailing Address
First Line	:	1802 GUILFORD LN
Second Line	:
City	:	NICHOLS HILLS
State	:	OK
Zip	:	73120-4731
Country	:	US
Telephone Number	:	405-570-2581
Fax Number	:

Provider Business Practice Location Address
First Line	:	1802 GUILFORD LN
Second Line	:
City	:	NICHOLS HILLS
State	:	OK
Zip	:	73120-4731
Country	:	US
Telephone Number	:	405-570-2581
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	DR. ANNE H. BARKER
Credential	:	LCSW, PHD
Telephone Number	:	405-570-2581

Provider Enumeration Date	:	01/28/2010
Last Update Date	:	01/28/2010

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